JAMES EDWARD GIBBS (NPI# 1992869929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992869929 |
| Entity Type | Individual |
| Full Name | JAMES EDWARD GIBBS |
| Credential | M.D. |
| Practice Address |
Student Medical Services 2620 Russell Long Blvd. Canyon TX 79016-0001 |
| Mailing Address |
2620 Russell Long Blvd Canyon TX 79016-0001 |
| Practice Telephone | 8066513287 |
| Practice Fax Number | 8066513289 |
| Mailing Telephone | 8066513287 |
| Mailing Fax Number | 8066513289 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G5090 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912274333 | James J Gibbs | Pharmacist | 432 Craig Avenue, Greendale, IN 47025 | 2011-11-30 |
| 1104077148 | James G. Gibbs Jr. | Psychiatry & Neurology | 122 S Cook St, Bennettsville, SC 29512-3244 | 2008-10-08 |
| 1659419166 | James A Gibbs | Pathology | 7507 5 Seville Avenue, Huntington Park, CA 90255 | 2007-02-05 |
| 1922154392 | James Mark Gibbs | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-01-26 |
| 1124132022 | James Samuel Gibbs | Internal Medicine | 1830 S Hawthorne Road, Winston Salem, NC 27103-4047 | 2006-08-18 |
| 1063726610 | James E. Gibbs | Pharmacist | 1427 W Baddour Pkwy Ste B, Lebanon, TN 37087-3062 | 2010-08-05 |
| 1871794321 | James Lawrence Gibbs | Physician Assistant | 9002 Queens Blvd, Elmhurst, NY 11373-4941 | 2007-05-31 |
| 1164594404 | James Michael Gibbs | Chiropractor | 501 4th St S, Princeton, MN 55371-2031 | 2006-11-14 |
| 1083717565 | James E Gibbs | Family Medicine | 740 Dunlawton Ave, Port Orange, FL 32127-4239 | 2006-09-07 |
| 1891743233 | James Emanuel Gibbs | Dentist | 371 Whitney Rd, Spartanburg, SC 29303-3143 | 2006-05-05 |
| Street Address |
STUDENT MEDICAL SERVICES 2620 RUSSELL LONG BLVD. |
| City | CANYON |
| State | TX |
| Zip Code | 79016-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912920844 | Candy C Marshall | Nurse Practitioner | 2620 Russell Long Blvd, Canyon, TX 79016 | 2006-07-25 |
| 1811400666 | Tracey Dianne Ecklund | Student in an Organized Health Care Education/Training Program | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| 1689014326 | Lorna Strong | Specialist/Technologist | 2342 Russell Long Blvd, Virgil Henson Activities Center 217, Canyon, TX 79016-0001 | 2013-06-26 |
| 1235387184 | Traci B Fredman | Speech-Language Pathologist | 2501 4th Ave, Canyon, TX 79016-0001 | 2008-09-04 |
| 1790971224 | Sally Lynn Gaines | Student in an Organized Health Care Education/Training Program | West Texas A & M University, Old Main, Room 308-a, Canyon, TX 79016-0001 | 2007-09-19 |
| 1639394984 | Robby Douglas Rhodes | Specialist/Technologist | 60216 Wtamu, Canyon, TX 79016-0001 | 2007-04-13 |
| 1407967599 | West Texas A&m University Student Medical Services | Clinic/Center | 2620 N Russel Long Blvd, Virgil Henson Activities Center Room 104, Canyon, TX 79016-0001 | 2006-08-31 |
| 1245341692 | Wendy L Bertram | Nurse Practitioner | 2620 N. Russell Long Blvd, Canyon, TX 79016-0001 | 2006-08-31 |
| 1376526129 | Karen Elizabeth Knapp | Nurse Practitioner | Wt Box 61401, Canyon, TX 79016-0001 | 2005-11-25 |
| 1912410762 | Heather Ann Ferrell | Specialist/Technologist | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| Find all providers in zip 79016 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003159856 | Amanda Nicole Hartman | Family Medicine | 301 N 23rd St Ste C, Canyon, TX 79015-3058 | 2013-03-30 |
| 1578650586 | Dennis Lane Canon | Family Medicine | 2001 4th Avenue, Canyon, TX 79015-4051 | 2006-10-10 |
| 1972514974 | Marc D Irwin | Family Medicine | 911 23rd St, Canyon, TX 79015-4600 | 2006-08-11 |
| 1487673695 | Harry J Cazzola | Family Medicine | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 | 2006-07-19 |
| 1659339950 | John P Dzik | Family Medicine | 8745 Plantation Dr, Canyon, TX 79015-6042 | 2006-05-03 |
| 1558914481 | Preventive Primary Care, LLC | Family Medicine | 1 Village Dr, Canyon, TX 79015-2041 | 2019-07-19 |
| 1558712901 | Taryn Nicole Mcgilvery | Family Medicine | 301 N 23rd St Ste C, Canyon, TX 79015-3058 | 2016-06-28 |
| 1578574695 | Lawrence R Mcafee | Family Medicine | 911 23rd St, Canyon, TX 79015-4600 | 2006-08-11 |
| 1245241231 | David B Clarke | Family Medicine | 911 23rd St, Canyon, TX 79015-4600 | 2006-08-11 |
| 1043221054 | Robert D Gross | Family Medicine | 911 23rd St, Canyon, TX 79015-4600 | 2006-08-11 |
| Find all providers in CANYON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.